Unusual placement of intrathecal baclofen pumps: report of two cases

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• 作者：Oliver Devine ; Andrew Harborne ; William B. Lo ; Daniel Weinberg…
• 关键词：Baclofen ; Intrathecal device ; Intrathecal baclofen ; Spasticity ; Cerebral palsy ; Spastic diplegia
• 刊名：Acta Neurochirurgica
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：158
• 期：1
• 页码：167-170
• 全文大小：1,868 KB
• 参考文献：1.Bar-On L, Molenaers G, Aertbeli毛n E, Van Campenhout A, Feys H, Nuttin B, Desloovere K (2015) Spasticity and its contribution to hypertonia in cerebral palsy. Biomed Res Int 2015:317047PubMedCentral PubMed CrossRef
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• 作者单位：Oliver Devine (1)
  Andrew Harborne (2)
  William B. Lo (3)
  Daniel Weinberg (4)
  Mahesh Ciras (6)
  Rupert Price (5)
  
  1. The Medical School, University College London, Gower Street, London, WC1E 6BT, UK
  2. Hull Royal Infirmary, Anlaby Rd, Kingston upon Hull, HU3 2JZ, UK
  3. Department of Neurosurgery, Queen Elizabeth Medical Centre, Birmingham, B15 2TH, UK
  4. Salford Royal NHS Foundation Trust, Stott Lane, Salford, M6 8HD, UK
  6. Department of Rehabilitation and Musculoskeletal Medicine, University Hospital of North Staffordshire, Newcastle Road, Stoke-on-Trent, ST4 6QG, UK
  5. Department of Neurosurgery, University Hospital of North Staffordshire, Newcastle Road, Stoke-on-Trent, ST4 6QG, UK
  
• 刊物主题：Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery;
• 出版者：Springer Vienna
• ISSN：0942-0940

文摘

Intrathecal baclofen delivery via implantable pump represents an important modality for symptomatic relief in patients with chronic spasticity. Pumps are routinely implanted subcutaneously in the anterior abdominal wall. We describe two unusual cases where skin-related complications necessitated revision surgery in order to relocate the pump to alternative sites. The first patient was an international power canoeist, whose strenuous exercise programme interfered with his pump鈥檚 original siting. The second patient was a cachectic university student with a history of cerebral palsy, who maintained low body mass despite attempted weight gain. The relocation of these two intrathecal devices to the medial compartment of the right thigh and right iliac fossa, respectively, is described. Keywords Baclofen Intrathecal device Intrathecal baclofen Spasticity Cerebral palsy Spastic diplegia